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    <title>供应商咨询 - 大连罗森</title>
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        <h1>供应商咨询</h1>
        <small>suppliers</small>
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<div class="dealers-main mbd3rem">
    <div class="container clearfix">
        <h4 class="contacts mbd3rem clearfix">
            <div class="inline-block fl"><img class="inline-block" style="width: .4rem; margin-right: 5px;" src="images/phone.jpg" alt=""></div>
            <span class="inline-block fl">联系我们</span>
        </h4>
        <strong class="form_strong mbd3rem bolck"><a href="tel:+0411-82655663-501">0411-82655663-501</a></strong>

        <form action="" method="get">
            <label for="">* 供货商名称</label>
            <input type="text">
            <label for="">* 供货商联系电话</label>
            <input type="text">
            <label for="">* 供货商邮箱</label>
            <input type="text">
            <label for="">* 供货商联系人</label>
            <input type="text">
            <label for="">* 姓别</label>
            <span class="radio"><label for="dealer_gender_1"><input type="radio" value="1" name="dealer[gender]" id="dealer_gender_1" />男</label></span>
            <span class="radio"><label for="dealer_gender_1"><input type="radio" value="1" name="dealer[gender]" id="dealer_gender_2" />女</label></span>
            <label for="">* 商品名称</label>
            <input type="text">
            <label for="">* 商品图片</label>
            <input style="border: none; margin: 0;" class="file required" type="file" name="dealer[good_pic]" id="dealer_good_pic"/>
            <p class="help-block mbd3rem">仅支持1MB以内的jpg、png、gif格式图片</p>
            <label for="">* 规格</label>
            <input type="text">
            <label for="">* 商品介绍</label>
            <label for="">(500字以内)</label>
            <textarea class="mbd3rem" name="" id="" cols="30" rows="10"></textarea>

            <label for="">* 进价</label>
            <input type="text" value="0.0">
            <label for="">* 卖价</label>
            <input type="text" value="0.0">
            <label for="">* 保质期</label>
            <input type="text">
            <label for="">大连有无仓库</label>
            <div class="form-box1">
                <input class="checkbox1 inline-block" type="checkbox">
                <span class="inline-block">(如有请勾选)</span>
            </div>
            <label for="">* 运输时间</label>
            <input type="text" style="text-align: right" value="天">
            <p class="mbd3rem">从订货到物流中心的时间（上海闵行区虹梅路）</p>
            <p><input class="submit" type="submit" value="确认提交"></p>
        </form>
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            <p>© DALIAN LAWSON CO.,LTD.</p>
            <p>辽ICP备16002246号</p>
            <p><img src="images/icp.png" alt="">辽公网安备 21020202000123号</p>
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